How to survive Ebola
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When it comes to surviving one of the world's deadliest diseases, there are few options and no guarantees.

news.com.au

12 Aug 2014

LifestyleLifestyle/Health

AN elderly Spanish priest infected with Ebola has died in a Madrid hospital, five days after being evacuated from Liberia.

The 75-year-old Roman Catholic priest, Miguel Pajares, was being treated in Spain with an experimental US serum, ZMapp, after being flown to Madrid on August 7.

He contracted Ebola at the Saint Joseph Hospital in the Liberian capital Monrovia where he worked with patients suffering from the disease.

“It is confirmed. He died at 9.28am,” said a spokeswoman for Spain’s La Paz-Carlos III hospital.

“The priest had been treated with ZMapp,” she said.

He is one of only three Ebola patients thought to have received the experimental drug.

The others are two Americans evacuated to Atlanta.

Pajares, who was treating people with Ebola at the San Jose de Monrovia Hospital in Liberia when he became infected, was evacuated to Spain on Thursday.

He worked for the San Juan de Dios hospital order, a Spain-based Catholic humanitarian group that runs hospitals around the world.

The news of his death comes after eight Chinese medical workers have also been placed in quarantine in Sierra Leone, as health experts grappled with ethical questions over the use of experimental drugs to combat the killer Ebola virus.

Being treated ... Roman Catholic priest Miguel Pajares, who contracted the deadly Ebola virus, being transported from Madrid's Torrejon air base to the Carlos III hospital upon his arrival in Spain. Picture: AFPSource: AFP

There is currently no available cure or vaccine for Ebola, one of the deadliest viruses known to man, which the WHO has declared a global public health emergency.

The disease has hit doctors hard in the ill-equipped and fragile health systems of the worst-hit west African nations, Guinea, Liberia and Sierra Leone.

Chinese ambassador to Sierra Leone Zhao Yanbo told journalists seven doctors and one nurse who treated Ebola patients had been placed under quarantine, but would not be drawn on whether they were displaying symptoms of the disease.

In addition 24 Sierra Leonean nurses, most from the military hospital in the capital, have also been placed under quarantine, according to figures from Yanbo and hospital director Dr Sahr Foday.

Foday said a senior physician at Freetown’s Connaught Hospital had contracted Ebola and was responding well to treatment. The nation’s sole virologist, who was at the forefront of its battle against the epidemic, died from Ebola last month.

Yanbo handed over Ebola protection kits, disinfectants and other medical material, which China also donated to Liberia and Guinea on Monday.

in isolation ... aid workers and doctors transfer Miguel Pajares, a Spanish priest who was infected with the Ebola virus while working in Liberia, from a plane to an ambulance. Picture: AP/Spanish Defense MinistrySource: AP

In Liberia — where Ebola has already claimed almost 370 lives — a third province, Lofa, was placed under quarantine on Monday after similar measures in Bomba and Grand Cape Mount.

“From now on, no one will be allowed to go to Lofa, no one will come out of there,” President Ellen Johnson Sirfleaf said. “We want to protect areas that have not been yet affected.” While impoverished Guinea, Liberia and Sierra Leone account for the bulk of the cases, the latest outbreak has spread further afield. Nigeria, Africa’s most populous country, has so far counted two deaths.

Numerous countries have imposed a raft of emergency measures, including flight bans or screening of passengers.

In the latest such move, the Ivory Coast announced on Monday it was banning all flights from the three hardest-hit nations.

And it said in the past few days it had turned back about 100 Liberians trying to flee across the border into Ivory Coast, which had not reported any Ebola cases.

Niger, which also has yet to confirm any cases, has put in place an “emergency plan” at a cost of $A274,486, boosting checks at borders, airports and stations and training health workers, the government said.

A health worker ... examines patients for Ebola inside a screening tent, at the Kenema Government Hospital situated in the Eastern Province around 300km from the capital city of Freetown in Kenema, Sierra Leone. Picture: AP/ Michael DuffSource: AP

Togo has also strengthened health screenings, but people in the capital Lome are far from reassured.

The use of an experimental drug called ZMapp on two Americans and a Spanish priest infected with the virus while working in Africa has opened up an intense ethical debate.

The drug, made by private US company Mapp Pharmaceuticals, has shown promising results, but is still in an extremely early phase of development and had only been tested previously on monkeys. ZMapp is in extremely short supply, but its use on Western aid workers has sparked controversy and demands that it be made available in Africa.

“Is it ethical to use unregistered medicines to treat people, and if so, what criteria should they meet, and what conditions, and who should be treated?” said WHO assistant director-general Marie-Paule Kieny ahead of Monday’s meeting.

“What is the ethical thing to do?” A Ghanaian priest became the third member of a Spanish charity to die from the virus.

In Guinea, where the outbreak first erupted in March, President Alpha Conde urged investment in the health system to better deal with health crises.

“The most important ... is to have the capacity to face epidemics in our hospitals, to have enough laboratories and trained doctors. Ebola will pass but tomorrow, there could be another disease.”

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